| NPI | 1659481646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE M LAWSON Owner Administrator 336-342-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC FCL-079-011) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |